Transcript Request

Please fill out this formal transcript request in its entirety to allow us to expedite this in a timely fashion.
All transcript requests will be fulfilled within 14 business days.

Email(Required)

Date of Request(Required)

Full Legal Name(Required)

Full Legal Name While Attending Glass City Academy (if different from above).

Phone(Required)

Date of Birth

Reason for Request(Required)

Post Secondary School

Trade School

Employment

Other

Graduation Year or Last Year Attended Glass City Academy(Required)

Where would you like us to send this transcript? (Please include the Entity Name, Address, Phone and Fax Number)(Required)

By typing your name below, you are signing this Application electronically, which shall have the same legal equivalent of a physical signature. By signing electronically, you attest that the information is true and accurate, to the best of your knowledge, and that you are legally authorized to apply for enrollment on behalf of the Student. By signing electronically, you consent to the Student’s enrollment at Glass City Academy. Glass City Academy reserves the right to require that you provide a physical signature on this and any

Full Legal Name(Required)

Current Date(Required)

Email

Phone